Percutaneous balloon compression (PBC) is recognized as a simple, safe, and effective intervention for trigeminal neuralgia (TN) and has been widely adopted in clinical practice across China. However, variations in its application exist among different regions. To standardize procedural protocols and enhance clinical outcomes, a multidisciplinary panel of Chinese experts from pain medicine and neurosurgery collaboratively developed this clinical expert consensus. The consensus formulation involved a systematic literature review of major databases, including Wanfang and PubMed, among others, and focusing on high-quality evidence such as systematic reviews, meta-analyses, randomized controlled trials, expert consensus statements, and clinical guidelines. Using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework and structured consensus conference methods, the panel held iterative discussions and conducted voting sessions to finalize the recommendations. This document summarizes key aspects of PBC, including relevant anatomy, mechanisms of action, indications, contraindications, detailed operative techniques, and efficacy evaluation. It aims to serve as a practical reference for clinicians to standardize and optimize the use of PBC in the treatment of trigeminal neuralgia.
| Published in | International Journal of Pain Research (Volume 1, Issue 4) |
| DOI | 10.11648/j.ijpr.20250104.17 |
| Page(s) | 157-171 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Percutaneous Balloon Compression, Trigeminal Neuralgia, Pain, Expert Consensus
| [1] | Maarbjerg S, Di Stefano G, Bendtsen L, et al. Trigeminal neuralgia - diagnosis and treatment [J]. Cephalalgia, 2017, 37(7): 648-657. |
| [2] | Mullan S, Lichtor T. Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia [J]. J Neurosurg, 1983, 59(6): 1007-1012. |
| [3] | Written by P. WB, Translated by Wang W,Wang H. Localization in clinical Neurology(7th edition)[M]. Bei Jing: The People's Health Press Co., Ltd, 2018: 317-330. |
| [4] | Urculo E, Martinez L, Arrazola M, et al. Macroscopic effects of percutaneous trigeminal ganglion compression (Mullan's technique): an anatomic study [J]. Neurosurgery, 1995, 36(4): 776-779. |
| [5] | Brown JA, Hoeflinger B, Long PB, et al. Axon and ganglion cell injury in rabbits after percutaneous trigeminal balloon compression [J]. Neurosurgery, 1996, 38(5): 993-1003; discussion 1003-4. |
| [6] | Huang H, Li Y, Wu Y, et al. Histological study of percutaneous microcapsule compression in the treatment of trigeminal neuralgia in rabbits [J]. Chin J Neurosurg Dis Res, 2018, 17(6): 508-511. |
| [7] | Brown JA, Chittum CJ, Sabol D, et al. Percutaneous balloon compression of the trigeminal nerve for treatment of trigeminal neuralgia [J]. Neurosurg Focus, 1996, 1(2): E10. |
| [8] | Chen JF, Tu PH, Lee ST. Long-term follow-up of patients treated with percutaneous balloon compression for trigeminal neuralgia in Taiwan [J]. World Neurosurg, 2011, 76(6): 586-591. |
| [9] | Yadav S, Sonone RM, Jaiswara C, et al. Long-term follow-up of trigeminal neuralgia patients treated with percutaneous balloon compression technique: a retrospective analysis [J]. J Contemp Dent Pract, 2016, 17(3): 263-266. |
| [10] | Kouzounias K, Schechtmann G, Lind G, et al. Factors that influence outcome of percutaneous balloon compression in the treatment of trigeminal neuralgia [J]. Neurosurgery, 2010, 67(4): 925-934. |
| [11] | Functional Neurosurgery Study Group, Branch of Neurosurgery, Chinese Medical Association; Expert Committee of Functional Neurosurgery, Branch of Neurosurgery, Chinese Doctor Medical Association; Shanghai Jiaotong University Cranial Neurosurgery Diagnosis and Treatment Center. Chinese expert consensus on diagnosis and treatment of trigeminal neuralgia [J]. Chinese Journal of Surgery, 2015, 53(9): 657-664. |
| [12] | Jain A. Comparative analysis of balloon compression and radiofrequency ablation in idiopathic trigeminal neuralgia: a retrospective study with a 24-month follow-up [J]. Turk J Anaesthesiol Reanim, 2019, 47(2): 146-150. |
| [13] | Chen JF, Tu PH, Lee ST. Repeated percutaneous balloon compression for recurrent trigeminal neuralgia: a long-term study [J]. World Neurosurg, 2012, 77(2): 352-356. |
| [14] | Du Y, Yang D, Dong X, et al. Percutaneous balloon compression (PBC) of trigeminal ganglion for recurrent trigeminal neuralgia after microvascular decompression (MVD) [J]. Ir J Med Sci, 2015, 184(4): 745-751. |
| [15] | Asplund P, Linderoth B, Lind G, et al. One hundred eleven percutaneous balloon compressions for trigeminal neuralgia in a cohort of 66 patients with multiple sclerosis [J]. Oper Neurosurg (Hagerstown), 2019, 17(5): 452-459. |
| [16] | Montano N, Papacci F, Cioni B, et al. Percutaneous balloon compression for the treatment of trigeminal neuralgia in patients with multiple sclerosis. Analysis of the potentially prognostic factors [J]. Acta Neurochir (Wien), 2012, 154(5): 779-783. |
| [17] | Noorani I, Lodge A, Vajramani G, et al. The effectiveness of percutaneous balloon compression, thermocoagulation, and glycerol rhizolysis for trigeminal neuralgia in multiple sclerosis [J]. Neurosurgery, 2019, 85(4): E684-E692. |
| [18] | Rzaev DA, Denisova NP, Moisak GI, et al. Experience of the use of gasserian ganglion balloon compression in patients with trigeminal neuralgia associated with multiple sclerosis[J]. Zh Nevrol Psikhiatr Im S S Korsakova, 2018, 118(5): 30-35. |
| [19] | Texakalidis P, Xenos D, Karras CL, et al. Percutaneous surgical approaches in multiple sclerosis-related trigeminal neuralgia: a systematic review and meta-analysis [J]. World Neurosurg, 2021, 146: 342-350. |
| [20] | Kam AC, Dan NG, Maclean J, et al. Zoster related multiple cranial nerve palsies: an unusual complication following percutaneous balloon compression for trigeminal neuralgia [J]. J Clin Neurosci, 1999, 6(3): 261-264. |
| [21] | Wang Q, Ma Y, Huang H, et al. Analysis of the effect of percutaneous balloon compression on trigeminal neuralgia caused by tumor [J]. ChinJBrain Dis Rehabil (Electronic Edition), 2020, 10: 272-275. |
| [22] | Zhang W, Jiang X, Wang Y. Percutaneous balloon compression for trigeminal neuralgia because of pontine cavernous angioma [J]. World Neurosurg, 2020, 137: 137-139. |
| [23] | Swarm RA, Paice JA, Anghelescu DL, et al. Adult cancer pain, version 3.2019, NCCN Clinical Practice Guidelines in Oncology [J]. J Natl Compr Canc Netw, 2019, 17(8): 977-1007. |
| [24] | Anqi X, Ding L, Jiahe X, et al. MR cisternography in the posterior fossa: the evaluation of trigeminal neurovascular compression [J]. Turk Neurosurg, 2013, 23(2): 218-225. |
| [25] | Chen MJ, Zhang WJ, Guo ZL, et al. Preoperative evaluation of the neurovascular compression using magnetic resonance tomographic angiography: our radiologic indications for microvascular decompression to treat trigeminal neuralgia [J]. J Craniofac Surg, 2014, 25(4): e384-e388. |
| [26] | Prieto R, Pascual JM, Yus M, et al. Trigeminal neuralgia: Assessment of neurovascular decompression by 3D fast imaging employing steady-state acquisition and 3D time of flight multiple overlapping thin slab acquisition magnetic resonance imaging [J]. Surg Neurol Int, 2012, 3: 50: 1-5. |
| [27] | Sandell T, Ringstad GA, Eide PK. Usefulness of the endoscope in microvascular decompression for trigeminal neuralgia and MRI-based prediction of the need for endoscopy [J]. Acta Neurochir (Wien), 2014, 156(10): 1901-1909. |
| [28] | Tucer B, Ekici MA, Demirel S, et al. Microvascular decompression for primary trigeminal neuralgia: short-term follow-up results and prognostic factors [J]. J Korean Neurosurg Soc, 2012, 52(1): 42-47. |
| [29] | Huang B, Yao M, Chen Q, et al. Efficacy and safety of awake computed tomography-guided percutaneous balloon compression of trigeminal ganglion for trigeminal neuralgia [J]. Pain Med, 2021, 22(11): 2700-2707. |
| [30] | Ren Y, Han W, Du Y, et al. Efficacy and safety of CT-guided percutaneous microballoon compression in the treatment of patients with primary trigeminal neuralgia under conscious trigeminal ganglion local block [J]. Chin J Painol, 2020, 16(1): 30-35. |
| [31] | Tibano AT, De Siqueira SR, Da Nóbrega JC, et al. Cardiovascular response during trigeminal ganglion compression for trigeminal neuralgia according to the use of local anesthetics [J]. Acta Neurochir (Wien), 2010, 152(8): 1347-1351. |
| [32] | Mendes PD, Martins Da Cunha PH, Monteiro KKO, et al. Percutaneous foramen ovale puncture: usefulness of intraoperative CT control, in the eventuality of a narrow foramen [J]. Stereotact Funct Neurosurg, 2021, 99(1): 75-78. |
| [33] | Sandwell S, Montoya S, Towner JE, et al. Anatomical study of percutaneous trigeminal compressive balloon positioning on merged 3-D rotational X-Ray and preprocedural magnetic resonance imaging [J]. Stereotact Funct Neurosurg, 2018, 96(3): 182-189. |
| [34] | Wiggins A, Lonie M, Pimentil I, et al. Electromagnetic neuronavigation for the percutaneous treatment of trigeminal neuralgia with balloon compression: technical note and cadaveric validation study [J]. Acta Neurochir (Wien), 2018, 160(7): 1337-1341. |
| [35] | Huo X, Sun X, Zhang Z, et al. Dyna-CT-assisted percutaneous microballoon compression for trigeminal neuralgia [J]. J Neurointerv Surg, 2014, 6(7): 521-526. |
| [36] | Xiao X, Wei Z, Ren H, et al. Comparison of effectiveness and safety between intraoperative 3D-CT-guided and C-arm-guided percutaneous balloon compression for idiopathic trigeminal neuralgia: A multi-center retrospective study [J]. Pain Res Manag, 2021, 2021: 9306532. |
| [37] | Xiaochuan H, Xiaoyun S, Junsheng L, et al. Percutaneous microballoon compression for trigeminal neuralgia using Dyna-CT [J]. Interv Neuroradiol, 2013, 19(3): 359-364. |
| [38] | Chen S,Ding W, Wang R, et al. Clinical Study of Neuronavigation-Guided Microballoon Compression of the Gasserian Ganglion for Trigeminal Neuralgia[J]. Chinese Journal of Neurosurgery, 2013, 29(10): 1038-1041. |
| [39] | Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy [J]. Pain Suppl, 1986, 3(2): S1-226. |
| [40] | Abdennebi B, Bouatta F, Chitti M, et al. Percutaneous balloon compression of the Gasserian ganglion in trigeminal neuralgia. Long-term results in 150 cases [J]. Acta Neurochir (Wien), 1995, 136(1-2): 72-74. |
| [41] | Abdennebi B, Mahfouf L, Nedjahi T. Long-term results of percutaneous compression of the gasserian ganglion in trigeminal neuralgia (series of 200 patients) [J]. Stereotact Funct Neurosurg, 1997, 68(1-4 Pt 1): 190-195. |
| [42] | Barlas O, Unal TC. A technique to facilitate the cannulation of the foramen ovale for balloon compression [J]. Br J Neurosurg, 2021, 37(6): 1-4. |
| [43] | Chaves JPG, Tvhf DEO, Francisco AN, et al. Trigeminal neuralgia recurrence: a comparison of microvascular decompression and percutaneous balloon compression: a five years follow-up study [J]. Arq Neuropsiquiatr, 2021, 79(1): 51-55. |
| [44] | Fan X, Xu F, Ren H, et al. The analysis of percutaneous balloon compression on efficacy and negative emotion in the treatment of recurrent trigeminal neuralgia after surgical procedures [J]. Pain Physician, 2021, 24(8): E1255-e1262. |
| [45] | Jain A, Ibrahim B, Ali A, et al. Percutaneous balloon compression technique using intraoperative contrasted DynaCT for the treatment of refractory trigeminal neuralgia: initial experience [J]. Neurosurg Rev, 2021, 45(2): 1393-1399. |
| [46] | Keravel Y, Gaston A, Ciampi De Andrade D, et al. [Balloon compression for the treatment of trigeminal neuralgia] [J]. Neurochirurgie, 2009, 55(2): 197-202. |
| [47] | Li MW, Jiang XF, Niu CS. Efficacy of and risk factors for percutaneous balloon compression for trigeminal neuralgia in elderly patients [J]. Br J Neurosurg, 2021, 35(3): 280-284. |
| [48] | Ni H, Wang Y, Chen X, et al. Outcomes of treatment for elderly patients with trigeminal neuralgia: percutaneous balloon compression versus microvascular decompression [J]. J Craniofac Surg, 2020, 31(7): e685-e688. |
| [49] | Sterman-Neto H, Fukuda CY, Duarte KP, et al. Balloon compression vs radiofrequency for primary trigeminal neuralgia: a randomized, controlled trial [J]. Pain, 2021, 162(3): 919-929. |
| [50] | Asplund P, Linderoth B, Bergenheim AT. The predictive power of balloon shape and change of sensory functions on outcome of percutaneous balloon compression for trigeminal neuralgia [J]. J Neurosurg, 2010, 113(3): 498-507. |
| [51] | Stomal-Słowińska M, Słowiński J, Lee TK, et al. Correlation of clinical findings and results of percutaneous balloon compression for patients with trigeminal neuralgia [J]. Clin Neurol Neurosurg, 2011, 113(1): 14-21. |
| [52] | Wang H, Chen C, Chen D, et al. Clinical analysis of the treatment of primary trigeminal neuralgia by percutaneous balloon compression [J]. Front Surg, 2022, 9: 843982. |
| [53] | Ying X, Wang H, Deng S, et al. Long-term outcome of percutaneous balloon compression for trigeminal neuralgia patients elder than 80 years: a strobe-compliant article [J]. Medicine (Baltimore), 2017, 96(39): e8199. |
| [54] | Abdennebi B, Guenane L. Technical considerations and outcome assessment in retrogasserian balloon compression for treatment of trigeminal neuralgia. series of 901 patients [J]. Surg Neurol Int, 2014, 5: 1-8. |
| [55] | Alvarez-Pinzon AM, Wolf AL, Swedberg HN, et al. Comparison of percutaneous retrogasserian balloon compression and gamma knife radiosurgery for the treatment of trigeminal neuralgia in multiple sclerosis [J]. World Neurosurg, 2017, 97: 590-594. |
| [56] | Brown JA. Percutaneous balloon compression for trigeminal neuralgia [J]. Clin Neurosurg, 2009, 56: 73-78. |
| [57] | De Córdoba JL, García Bach M, Isach N, et al. Percutaneous balloon compression for trigeminal neuralgia: imaging and technical aspects [J]. Reg Anesth Pain Med, 2015, 40(5): 616-622. |
| [58] | Goerss SJ, Atkinson JL, Kallmes DF. Variable size percutaneous balloon compression of the gasserian ganglion for trigeminal neuralgia [J]. Surg Neurol, 2009, 71(3): 388-390. |
| [59] | Brown JA, Pilitsis JG. Percutaneous balloon compression for the treatment of trigeminal neuralgia: results in 56 patients based on balloon compression pressure monitoring [J]. Neurosurg Focus, 2005, 18(5): E10. |
| [60] | Lee ST, Chen JF. Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia--part I: pressure recordings [J]. Surg Neurol, 2003, 59(1): 63-66. |
| [61] | Wang Q, Chen C, Guo G, et al. A prospective study to examine the association of the foramen ovale size with intraluminal pressure of pear-shaped balloon in percutaneous balloon compression for trigeminal neuralgia [J]. Pain Ther, 2021, 10(2): 1439-1450. |
| [62] | Wang Q, Guo GW, Huang D, et al. Correlation of preoperative reconstruction of foramen ovale parameters and intraluminal balloon pressure during percutaneous balloon compression for trigeminal neuralgia[J]. National Medical Journal of China, 2021, 101(43): 3549-3553. |
| [63] | Lee ST, Chen JF. Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia, part II: results related to compression duration [J]. Surg Neurol, 2003, 60(2): 149-153. |
| [64] | Lv W, Hu W, Chi L, et al. Factors that may affect recurrence of trigeminal neuralgia after percutaneous balloon compression [J]. J Clin Neurosci, 2022, 99: 248-252. |
| [65] | He R, Wei Y, Hu X, et al. Effects of different compression durations on the clinical efficacy of percutaneous balloon compression for patients with primary trigeminal neuralgia[J]. Chin J Painol, 2021, 17: 28-35. |
| [66] | Interventional Cardiology Group, Chinese Society of Cardiology, Chinese Medical Association; Macrovascular Group, Chinese Society of Cardiology, Chinese Medical Association; Editorial Board of Chinese Journal of Cardiology. Chinese expert consensus on management strategies for adverse events related to intra-arterial use of iodine contrast media during cardiovascular intervention (2021)[J]. Chin J Cardiol, 2021, 49(10): 972-985.. |
| [67] | Ma K, Ma B. Clinical comparison and recommendation of different surgical methods for the treatment of trigeminal neuralgia[J]. Chin J Painol, 2022, 18: 1-2. |
| [68] | Noorani I, Lodge A, Durnford A, et al. Comparison of first-time microvascular decompression with percutaneous surgery for trigeminal neuralgia: long-term outcomes and prognostic factors [J]. Acta Neurochir (Wien), 2021, 163(6): 1623-1634. |
| [69] | Skirving DJ, Dan NG. A 20-year review of percutaneous balloon compression of the trigeminal ganglion [J]. J Neurosurg, 2001, 94(6): 913-917. |
| [70] | Kouzounias K, Lind G, Schechtmann G, et al. Comparison of percutaneous balloon compression and glycerol rhizotomy for the treatment of trigeminal neuralgia [J]. J Neurosurg, 2010, 113(3): 486-492. |
| [71] | Chen F, Niu Y, Meng F, et al. Recurrence rates after microvascular decompression in patients with primary trigeminal neuralgia and its influencing factors: a systematic review and meta-analysis based on 8, 172 surgery patients [J]. Front Neurol, 2021, 12: 738032. |
| [72] | Chen JN, Yu WH, Du HG, et al. Prospective comparison of redo microvascular decompression and percutaneous balloon compression as primary surgery for recurrent trigeminal neuralgia [J]. J Korean Neurosurg Soc, 2018, 61(6): 747-752. |
| [73] | Ichida MC, De Almeida AN, Da Nobrega JC, et al. Sensory abnormalities and masticatory function after microvascular decompression or balloon compression for trigeminal neuralgia compared with carbamazepine and healthy controls [J]. J Neurosurg, 2015, 122(6): 1315-1323. |
| [74] | Chen JF, Lee ST. Comparison of percutaneous trigeminal ganglion compression and microvascular decompression for the management of trigeminal neuralgia [J]. Clin Neurol Neurosurg, 2003, 105(3): 203-208. |
| [75] | Chroni E, Constantoyannis C, Prasoulis I, et al. Masseter muscle function after percutaneous balloon compression of trigeminal ganglion for the treatment of trigeminal neuralgia: a neurophysiological follow-up study [J]. Clin Neurophysiol, 2011, 122(2): 410-413. |
| [76] | Cheng JS, Lim DA, Chang EF, et al. A review of percutaneous treatments for trigeminal neuralgia [J]. Neurosurgery, 2014, 10 Suppl 1: 25-33. |
| [77] | Montano N, Papacci F, Cioni B, et al. The role of percutaneous balloon compression in the treatment of trigeminal neuralgia recurring after other surgical procedures [J]. Acta Neurol Belg, 2014, 114(1): 59-64. |
| [78] | Kondo A, Date I, Endo S, et al. A proposal for standardized analysis of the results of microvascular decompression for trigeminal neuralgia and hemifacial spasm [J]. Acta Neurochir (Wien), 2012, 154(5): 773-778. |
| [79] | Agarwal A, Rastogi S, Bansal M, et al. Radiofrequency treatment of idiopathic trigeminal neuralgia (conventional vs. pulsed): a prospective randomized control study [J]. Anesth Essays Res, 2021, 15(1): 14-19. |
| [80] | Gupta M, Sagi V, Mittal A, et al. Results of three or more gamma knife radiosurgery procedures for recurrent trigeminal neuralgia [J]. J Neurosurg, 2021, 135(6): 1789-1798. |
| [81] | Xu R, Materi J, Raj D, et al. Internal neurolysis versus intraoperative glycerin rhizotomy for trigeminal neuralgia [J]. J Neurosurg, 2022: 1-6. |
| [82] | Li F, Ma Y, Zou J, et al. Delayed Pain Relief Following Microballoon Compression for Trigeminal Neuralgia[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2010, 15: 105. |
| [83] | Li F, Ma Y, Zou J, et al. Common Complications of Percutaneous Balloon Compression for Trigeminal Neuralgia[J]. Chinese Journal of Pain Medicine, 2010, 16: 362-363. |
| [84] | Cha ST, Eby JB, Katzen JT, et al. Trigeminocardiac reflex: a unique case of recurrent asystole during bilateral trigeminal sensory root rhizotomy [J]. J Craniomaxillofac Surg, 2002, 30(2): 108-111. |
| [85] | Dominguez J, Lobato RD, Rivas JJ, et al. Changes in systemic blood pressure and cardiac rhythm induced by therapeutic compression of the trigeminal ganglion [J]. Neurosurgery, 1994, 34(3): 422-427. |
| [86] | Schaller B, Probst R, Strebel S, et al. Trigeminocardiac reflex during surgery in the cerebellopontine angle [J]. J Neurosurg, 1999, 90(2): 215-220. |
| [87] | Brown JA, Preul MC. Trigeminal depressor response during percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia [J]. Neurosurgery, 1988, 23(6): 745-748. |
| [88] | Wang CM, Guan ZY, Zhang J, et al. Comparative study of trigeminocardiac reflex after trigeminal ganglion compression during total intravenous anesthesia [J]. J Neurosurg Anesthesiol, 2015, 27(1): 16-20. |
| [89] | Chen CY, Luo CF, Hsu YC, et al. Comparison of the effects of atropine and labetalol on trigeminocardiac reflex-induced hemodynamic alterations during percutaneous microballoon compression of the trigeminal ganglion [J]. Acta Anaesthesiol Taiwan, 2012, 50(4): 153-158. |
| [90] | Wang CM, Guan ZY, Zhao P, et al. The effect of atropine on trigeminocardiac reflex-induced hemodynamic changes during therapeutic compression of the trigeminal ganglion [J]. J Neurosurg Anesthesiol, 2022, 34(1): e40-e45. |
| [91] | Wang CM, Guan ZY, Cai CH, et al. Comparative study of atropine combined with sodium nitroprusside pretreatment to prevent trigemino cardiac reflex after trigeminal ganglion compression [J]. J Clin Diagn Res, 2016, 10(3): Uc09-12. |
| [92] | Asplund P, Blomstedt P, Bergenheim AT. Percutaneous balloon compression vs percutaneous retrogasserian glycerol rhizotomy for the primary treatment of trigeminal neuralgia [J]. Neurosurgery, 2016, 78(3): 421-428. |
| [93] | Texakalidis P, Xenos D, Tora MS, et al. Comparative safety and efficacy of percutaneous approaches for the treatment of trigeminal neuralgia: A systematic review and meta-analysis [J]. Clin Neurol Neurosurg, 2019, 182: 112-122. |
| [94] | Zheng S, Yuan R, Ni J, et al. Long-term recurrence-free survival and complications of percutaneous balloon compression and radiofrequency thermocoagulation of Gasserian ganglion for trigeminal neuralgia: A retrospective study of 1313 cases [J]. Pain Pract, 2022, 22(5): 532-540. |
| [95] | Wang B, Ma Y, Li Y, et al. Common Complications of Percutaneous Balloon Compression for Trigeminal Neuralgia[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2008, 13: 422-423. |
| [96] | LI F, MA Y,MA Y, et al. Trochlera nerve palsy occurred after percutaneous microsphere compression treatment for trigeminal neuralgia: a clinical analys[J]. J Intervent Radiol, 2011, 20(9): 673-675. |
| [97] | Marchi C, De Aguiar PHP, Moura AM, et al. Abducent nerve palsy after microballoon compression of the trigeminal ganglion: Case report [J]. Surg Neurol Int, 2017, 8: 125-129. |
| [98] | Berra LV, Armocida D, Pesce A, et al. Herpes simplex reactivation after surgical treatment of trigeminal neuralgia: a retrospective cohort study [J]. World Neurosurg, 2019, 127: e16-e21. |
| [99] | Zhen X, Xu X, Shao X, et al. Risk factors of herpes simplex virus reactivation after surgery for primary trigeminal neuralgia [J]. J Neurovirol, 2022, 28(3): 367-373. |
| [100] | Tenser RB. Occurrence of herpes simplex virus reactivation suggests a mechanism of trigeminal neuralgia surgical efficacy [J]. World Neurosurg, 2015, 84(2): 279-282. |
| [101] | Li F,Ma Y, Chen X, et al. Cerebrovascular complications of percutaneous balloon compression for the treatment of tfigeninal neuralgia: a report of 10 cases[J]. International Journal of Cerebrovascular Diseases, 2011, 19: 585-588. |
| [102] | Spaziante R, Cappabianca P, Peca C, et al. Subarachnoid hemorrhage and "normal pressure hydrocephalus": fatal complication of percutaneous microcompression of the gasserian ganglion. Case report [J]. Neurosurgery, 1988, 22(1 Pt 1): 148-151. |
APA Style
Yu'e, R., Xiaohui, L., Zhixiang, C., Xiaochong, F., Bifa, F., et al. (2025). Chinese Expert Consensus on Percutaneous Balloon Compression for Trigeminal Neuralgia (2022). International Journal of Pain Research, 1(4), 157-171. https://doi.org/10.11648/j.ijpr.20250104.17
ACS Style
Yu'e, R.; Xiaohui, L.; Zhixiang, C.; Xiaochong, F.; Bifa, F., et al. Chinese Expert Consensus on Percutaneous Balloon Compression for Trigeminal Neuralgia (2022). . 2025, 1(4), 157-171. doi: 10.11648/j.ijpr.20250104.17
@article{10.11648/j.ijpr.20250104.17,
author = {Ren Yu'e and Liu Xiaohui and Cheng Zhixiang and Fan Xiaochong and Fan Bifa and Huang Dong and Hu Yongsheng and Jiang Zongbin and Luo Fang and Ma Ke and Qian Tao and Sun Tao and Sun Hongtao and Yang Liqiang and Yu Wenhua and Zhong Jun and Zhao Zongmao and Zhou Huacheng and Liu Guangzhao},
title = {Chinese Expert Consensus on Percutaneous Balloon Compression for Trigeminal Neuralgia (2022)
},
journal = {International Journal of Pain Research},
volume = {1},
number = {4},
pages = {157-171},
doi = {10.11648/j.ijpr.20250104.17},
url = {https://doi.org/10.11648/j.ijpr.20250104.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijpr.20250104.17},
abstract = {Percutaneous balloon compression (PBC) is recognized as a simple, safe, and effective intervention for trigeminal neuralgia (TN) and has been widely adopted in clinical practice across China. However, variations in its application exist among different regions. To standardize procedural protocols and enhance clinical outcomes, a multidisciplinary panel of Chinese experts from pain medicine and neurosurgery collaboratively developed this clinical expert consensus. The consensus formulation involved a systematic literature review of major databases, including Wanfang and PubMed, among others, and focusing on high-quality evidence such as systematic reviews, meta-analyses, randomized controlled trials, expert consensus statements, and clinical guidelines. Using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework and structured consensus conference methods, the panel held iterative discussions and conducted voting sessions to finalize the recommendations. This document summarizes key aspects of PBC, including relevant anatomy, mechanisms of action, indications, contraindications, detailed operative techniques, and efficacy evaluation. It aims to serve as a practical reference for clinicians to standardize and optimize the use of PBC in the treatment of trigeminal neuralgia.},
year = {2025}
}
TY - JOUR T1 - Chinese Expert Consensus on Percutaneous Balloon Compression for Trigeminal Neuralgia (2022) AU - Ren Yu'e AU - Liu Xiaohui AU - Cheng Zhixiang AU - Fan Xiaochong AU - Fan Bifa AU - Huang Dong AU - Hu Yongsheng AU - Jiang Zongbin AU - Luo Fang AU - Ma Ke AU - Qian Tao AU - Sun Tao AU - Sun Hongtao AU - Yang Liqiang AU - Yu Wenhua AU - Zhong Jun AU - Zhao Zongmao AU - Zhou Huacheng AU - Liu Guangzhao Y1 - 2025/11/26 PY - 2025 N1 - https://doi.org/10.11648/j.ijpr.20250104.17 DO - 10.11648/j.ijpr.20250104.17 T2 - International Journal of Pain Research JF - International Journal of Pain Research JO - International Journal of Pain Research SP - 157 EP - 171 PB - Science Publishing Group UR - https://doi.org/10.11648/j.ijpr.20250104.17 AB - Percutaneous balloon compression (PBC) is recognized as a simple, safe, and effective intervention for trigeminal neuralgia (TN) and has been widely adopted in clinical practice across China. However, variations in its application exist among different regions. To standardize procedural protocols and enhance clinical outcomes, a multidisciplinary panel of Chinese experts from pain medicine and neurosurgery collaboratively developed this clinical expert consensus. The consensus formulation involved a systematic literature review of major databases, including Wanfang and PubMed, among others, and focusing on high-quality evidence such as systematic reviews, meta-analyses, randomized controlled trials, expert consensus statements, and clinical guidelines. Using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework and structured consensus conference methods, the panel held iterative discussions and conducted voting sessions to finalize the recommendations. This document summarizes key aspects of PBC, including relevant anatomy, mechanisms of action, indications, contraindications, detailed operative techniques, and efficacy evaluation. It aims to serve as a practical reference for clinicians to standardize and optimize the use of PBC in the treatment of trigeminal neuralgia. VL - 1 IS - 4 ER -